Organization
DAILY LIVING SUPPORT RIVERSIDE LLC
Active
Other names
Home Instead
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SOUTHARD (PRESIDENT)
(562) 322-0432
Entity
Organization
Contact information
Practice address
6751 BROCKTON AVE, RIVERSIDE, CA 92506-3023
(951) 369-7047
Mailing address
6751 BROCKTON AVE, RIVERSIDE, CA 92506-3023
(513) 697-0479
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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